ArticleJMIR human factors2022
Patient Portal Messaging for Asynchronous Virtual Care During the COVID-19 Pandemic: Retrospective Analysis.
Article in JMIR human factors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Defining and Assessing Empathic Communication in Patient Portal Secure Messages: Adapted Coding Framework Development Study.JMIR formative research · 2026Article
- Hybrid care engagement phenotypes and glycemic outcomes in diabetes: a cluster analysis across two health systems.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Improving Diagnosis: Evaluation of Diagnostic Experiences Classified as Problems, Mistakes, or Both by Patients and Care Partners From a Nationally Representative Survey.Medical care · 2026Article
- A scoping review of studies on secure messaging through patient portals: persistent challenges and potential solutions.npj health systems · 2026Article
- Knowledge, attitudes, and practices towards dry eye disease treatment among patients: a cross-sectional study.BMC public health · 2026Article
- Interaction with SMS text-reminders correlate with improved medication adherence and readmission rates for congestive heart failure patients: A retrospective cohort study.PLOS digital health · 2025Article
- Measurement, drivers, and outcomes of patient-initiated secure messaging use and intensity: a scoping review.JAMIA open · 2025Review
- Undocumented Dementia Diagnosis During Skilled Home Health Care: Prevalence and Associated Factors.Journal of the American Geriatrics Society · 2025Article
- Utility of Artificial Intelligence-Generative Draft Replies to Patient Messages.JAMA network open · 2024Article
- Telehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Use of Electronic Patient Messaging by Pregnant Patients Receiving Prenatal Care at an Academic Health System: Retrospective Cohort Study.JMIR mHealth and uHealth · 2024Article
- Patient Portal Use during Home Health Care at an Academic Health System.Journal of the American Medical Directors Association · 2024Article
- A scoping review of empathy recognition in text using natural language processing.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Building a Natural Language Processing Artificial Intelligence to Predict Suicide-Related Events Based on Patient Portal Message Data.Mayo Clinic proceedings. Digital health · 2023Article
- Use of the patient portal among older adults with diagnosed dementia and their care partners.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Observational
- Patient portal interventions: a scoping review of functionality, automation used, and therapeutic elements of patient portal interventions.JAMIA open · 2023Article
- The State-of-the-Art of Patient Portals: Adapting to External Factors, Addressing Barriers, and Innovating.Applied clinical informatics · 2023Review
- Use of Natural Language Processing of Patient-Initiated Electronic Health Record Messages to Identify Patients With COVID-19 Infection.JAMA network open · 2023Article
- Use of provider-sponsored patient portals among older adults and their family caregivers.Journal of the American Geriatrics Society · 2023Article
- Review
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
backgroundDuring the COVID-19 pandemic, patient portals and their message platforms allowed remote access to health care. Utilization patterns in patient messaging during the COVID-19 crisis have not been studied thoroughly. In this work, we propose characterizing patients and their use of asynchronous virtual care for COVID-19 via a retrospective analysis of patient portal messages.
objectiveThis study aimed to perform a retrospective analysis of portal messages to probe asynchronous patient responses to the COVID-19 crisis.
methodsWe collected over 2 million patient-generated messages (PGMs) at Mayo Clinic during February 1 to August 31, 2020. We analyzed descriptive statistics on PGMs related to COVID-19 and incorporated patients' sociodemographic factors into the analysis. We analyzed the PGMs on COVID-19 in terms of COVID-19-related care (eg, COVID-19 symptom self-assessment and COVID-19 tests and results) and other health issues (eg, appointment cancellation, anxiety, and depression).
resultsThe majority of PGMs on COVID-19 pertained to COVID-19 symptom self-assessment (42.50%) and COVID-19 tests and results (30.84%). The PGMs related to COVID-19 symptom self-assessment and COVID-19 test results had dynamic patterns and peaks similar to the newly confirmed cases in the United States and in Minnesota. The trend of PGMs related to COVID-19 care plans paralleled trends in newly hospitalized cases and deaths. After an initial peak in March, the PGMs on issues such as appointment cancellations and anxiety regarding COVID-19 displayed a declining trend. The majority of message senders were 30-64 years old, married, female, White, or urban residents. This majority was an even higher proportion among patients who sent portal messages on COVID-19.
conclusionsDuring the COVID-19 pandemic, patients increased portal messaging utilization to address health care issues about COVID-19 (in particular, symptom self-assessment and tests and results). Trends in message usage closely followed national trends in new cases and hospitalizations. There is a wide disparity for minority and rural populations in the use of PGMs for addressing the COVID-19 crisis.
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